Heritage Rehabilitation Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501009401 Issued in MI

Legal business name

HERITAGE REHABILITATION CENTER

Practice address

2891 E Maple Rd
Suite 103
Troy, MI 48083-6106

Phone

(248) 720-0701

Fax

(248) 720-0703

NPI assigned

Nov 12, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dominik Oleksy

Title

Owner

Phone

(248) 720-0701

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1861793432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 E MAPLE RD",
            "address_2": "SUITE 103",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836106",
            "telephone_number": "248-720-0701",
            "fax_number": "248-720-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 E MAPLE RD",
            "address_2": "SUITE 103",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836106",
            "telephone_number": "248-720-0701",
            "fax_number": "248-720-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "OLEKSY",
        "authorized_official_first_name": "DOMINIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-720-0701"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mynhia Her
• Janeane Monet Herard, LLMSW
• Herbert J. Roth Jr. MD PC
• Heritage Home Hospice, LLC
• Heritage Physical Therapy, PLLC
• Ann E Hern, MD
• Brookney Hernandez
• Jessica Hernandez
• Debra Herrick
• Marie Novella Herron

• Physical Therapist in Troy, MI
• Providers in Troy, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.